Active NPI
Sue Han, RDH, BS
- Dental Hygienist
- Los Angeles, CA
National Provider Identifier
1740497247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH 19868
- Practice address
- 130 S Alvarado St
Los Angeles, CA 90057-2238 - Phone
- (213) 484-9660
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDH 19868 | CA | Primary |
Addresses
Primary practice location
130 S Alvarado St
Los Angeles, CA 90057-2238
Mailing address
715 S Normandie Ave Apt 427
Los Angeles, CA 90005-2293
Phone (213) 364-7373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RDH 19868 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740497247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 S NORMANDIE AVE APT 427",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900052293",
"telephone_number": "213-364-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S ALVARADO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572238",
"telephone_number": "213-484-9660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "SUE",
"name_prefix": "Miss",
"credential": "RDH, BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "RDH 19868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.